Individual
ANNETTE M STEVKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC CCSP
Contact information
Practice address
4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
(503) 281-3400
(503) 287-3787
Mailing address
4111 NE TILLAMOOK ST, PORTLAND, OR 97212-5342
(503) 281-3400
(503) 287-3787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
364880
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67467
KAISER
—
Enumeration date
06/23/2006
Last updated
05/07/2008
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